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1750050605
MATTHEW PAUL BOHANNON
CONCORD, NH
NPI
1750050605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NH 0355)
Enumeration Date
2021-09-13
Last Update Date
2021-09-13
Business Address
MATTHEW PAUL BOHANNON CRSW
2 CHENELL DR
CONCORD, NH 03301-8525
Phone number: 603-232-9099
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Mailing Address
MATTHEW PAUL BOHANNON CRSW
10019 REISTERSTOWN RD FL 3
OWINGS MILLS, MD 21117-3902
Phone number:
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